Individual
DARNESHA J LILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8030 OLD KINGS RD S APT 3, JACKSONVILLE, FL 32217-4140
(904) 866-9396
Mailing address
8030 OLD KINGS RD S APT 3, JACKSONVILLE, FL 32217-4140
(904) 866-9396
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5236284
FL
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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